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Medical Coding Billing Jobs in Sun Prairie, WI (NOW HIRING)

U.S. Navy

Clinical Psychologist - $65k Bonus

Madison, WI · On-site

$65K/yr

... teams • No Billing Headaches - patient care fully covered • Comprehensive Medical, Dental ... Code section 531 and 532) The U.S. Navy is actively hiring Clinical Psychologists to support the ...

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Medical Coding Billing information

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How much do medical coding billing jobs pay per hour?

As of Aug 12, 2026, the average hourly pay for medical coding billing in Sun Prairie, WI is $21.36, according to ZipRecruiter salary data. Most workers in this role earn between $17.55 and $22.45 per hour, depending on experience, location, and employer.

Is a career in medical coding billing worth it?

A career in medical coding and billing offers stable employment opportunities, as it is essential for healthcare administration and reimbursement processes. It typically requires certification, attention to detail, and proficiency with coding systems like ICD-10 and CPT. The field can provide flexible schedules and remote work options, making it a viable choice for many job seekers.

What does a medical coding billing do?

Medical coding and billing professionals typically review patient records, assign appropriate medical codes based on documentation, and prepare claims for submission to insurance companies. Daily tasks often include following up on unpaid claims, correcting coding errors, communicating with healthcare providers for clarification, and updating patient accounts. You may also be responsible for verifying insurance benefits and addressing patient inquiries about billing statements. These responsibilities require both technical coding expertise and strong interpersonal skills for effective collaboration. Working in this role offers valuable experience in healthcare administration and can lead to further career advancement within medical billing, auditing, or healthcare management.

What are the key skills and qualifications needed to thrive in medical coding billing?

To excel in Medical Coding Billing, you need a strong understanding of medical terminology, anatomy, health insurance processes, and coding systems such as ICD-10, CPT, and HCPCS, often supported by formal training or relevant certification (e.g., CPC, CCS). Familiarity with electronic health record (EHR) systems and medical billing software is essential for processing and submitting claims accurately. Attention to detail, organizational skills, and effective communication are important soft skills that help you navigate complex billing scenarios and interact with patients, providers, and payers. Mastery of these skills ensures accurate reimbursement, reduces claim denials, and facilitates efficient healthcare operations.

Is it hard to get a job in medical coding and billing?

Medical coding and billing jobs generally require certification and knowledge of coding systems like ICD-10 and CPT. While some entry-level positions are available, competition can vary based on location and experience, and having relevant skills or certifications can improve job prospects.

Are medical coders still in demand?

Medical coders are currently in demand due to ongoing healthcare industry needs for accurate billing and coding. The role requires knowledge of medical terminology, coding systems like ICD-10 and CPT, and often certification, which helps maintain employment opportunities in hospitals, clinics, and insurance companies.

What is a medical coding billing?

A Medical Coding and Billing job involves translating healthcare services, procedures, diagnoses, and treatments into standardized codes for billing and insurance purposes. Medical coders use classification systems like ICD-10, CPT, and HCPCS to ensure accuracy in medical records and claims. Medical billers submit claims to insurance companies and manage reimbursements to healthcare providers. This role is essential for healthcare revenue cycle management and requires attention to detail, knowledge of medical terminology, and compliance with industry regulations.

What job categories do people searching Medical Coding Billing jobs in Sun Prairie, WI look for? The top searched job categories for Medical Coding Billing jobs in Sun Prairie, WI are:
What cities near Sun Prairie, WI are hiring for Medical Coding Billing jobs? Cities near Sun Prairie, WI with the most Medical Coding Billing job openings:
Medical Coding Billing jobs near you
Infographic showing various Medical Coding Billing job openings in Sun Prairie, WI as of August 2026, with employment types broken down into 63% Full Time, 21% Part Time, and 16% Temporary. Highlights an 100% In-person job distribution, with an average salary of $44,436 per year, or $21.4 per hour.

Vice President, National Payer Accounts

Initial Therapeutics, Inc.

Oregon, WI • On-site

$300.76 - $380.41/hr

Other

Posted 7 days ago

Job description

The Commercial team at EyePoint focuses on bringing innovative therapies to patients by ensuring healthcare providers, partners, and communities have access to treatment, reimbursement, and are able to use the product appropriately. This team uses data-driven insights, market access strategies, and a patient-centric approach to improve awareness, access, and adoption of EyePoint’s therapies to help improve vision outcomes for people with serious retinal diseases.


EyePoint Pharmaceuticals is seeking a Vice President, Head of National Payer Accounts to lead the strategy, negotiation, and management of national and regional payer relationships supporting the commercial launch of the Company's retina portfolio. This leader will build and run the payer/account management function from the ground up ahead of launch, with direct accountability for securing favorable coverage, contracting, and reimbursement pathways for a Medicare Part B buy-and-bill retina therapy. This is a field-facing, individually-credible executive role requiring both strategic account leadership and hands-on payer negotiation experience.


Key Accountabilities
Payer Strategy & Account Leadership

  • Own the national payer account strategy across commercial, Medicare (including MACs), and Medicaid channels for a buy-and-bill Part B retina product

  • Serve as the senior relationship owner for top national and regional payers and PBMs; lead direct negotiations on coverage policy, contracting, and value-based arrangements (IDN/ASC-owned retina practices, GPOs, and PE-backed MSOs are owned by the VP, GPO, Pricing & Contracting, and Strategic Engagement)

  • Build and lead the national accounts team (directors/account executives) and trade and distribution role as the business scales post-launch — this is a build-from-the-ground-up role, not a steady-state management assignment, so a “player-coach” approach is expected in year one

  • Own government pricing and contract operations accountability for the retina portfolio (ASP reporting, 340B, contract compliance), partnering with Finance/Legal as needed — Trade & Distribution executes day-to-day chargeback processing and contract price administration against these terms


Launch Execution

  • Lead payer-facing launch readiness: pull-through of coverage policy, prior authorization criteria, and claims/billing pathways ahead of and through the J-code transition (misc J-code to permanent code)

  • Partner with Trade & Distribution, Reimbursement/HUB, and Medical Affairs to ensure a coordinated provider and payer launch experience

  • Collaborates with the patient support/HUB and co-pay assistance program strategy, leading Trade & Distribution to ensure SD/SP capacity and product availability support a buy-and-bill onboarding journey from day one

  • Develop and defend the payer value story (clinical, economic, HEOR) in partnership with market access marketing and HEOR teams


Cross-Functional & Executive Engagement

  • Represent payer strategy and account status to the CCO, executive team, and Board as needed

  • Partner with Sales leadership to align field access/reimbursement support with national account strategy

  • Provide input to pricing, contracting, and gross-to-net strategy based on direct payer intelligence


Market & Policy Monitoring & Engagement

  • Track evolving Part B policy landscape (e.g., MFN/GLOBE pricing model, ASP/J-code cycles, site-of-care and step-therapy trends) and translate into account strategy and forecasting inputs

  • Maintain working fluency in Inflation Reduction Act (IRA) provisions relevant to Part B/Part D and their downstream effect on pricing and access strategy; partner with executive leadership, Legal, and the Board on implications as needed

  • Represent the company directly in health policy engagement where appropriate (e.g., CMS comment letters on coding/payment policy such as OPPS, coverage determination processes)

  • Maintain a current view of competitive payer coverage and contracting positions across the TKI / anti-VEGF/retina category


Qualifications
Required

  • 15+ years in pharmaceutical/biotech market access, national accounts, or payer strategy, including 3+ years at the VP/senior leadership level carrying direct payer negotiation ownership

  • Direct experience launching a Medicare Part B buy-and-bill product, including navigating the miscellaneous J-code period through permanent coding

  • Retina or broader ophthalmology therapeutic area experience strongly preferred

  • Demonstrated success building payer/account strategy pre-launch and leading execution through launch and post-launch growth - ideally including at least one launch at a small/mid-cap biotech where the function was built from scratch

  • Expert-level knowledge of Part B reimbursement mechanics: ASP methodology, buy-and-bill economics, site-of-care dynamics, and specialty pharmacy/specialty distribution models

  • Working knowledge of Inflation Reduction Act (IRA) provisions and their impact on pricing, access, and contracting strategy

  • Proven track record negotiating with national payers and PBMs at a senior level

  • Experience building and leading a national accounts team; comfortable operating in a “player-coach” capacity during early-stage build-out

  • Bachelor's degree required; advanced degree (MBA, healthcare-related) a plus


Preferred

  • Experience at a small/mid-cap biotech during a first-in-class or category launch (vs. established in-line brand management)

  • Existing relationships across major national payers and specialty distributors relevant to retina/buy-and-bill products

  • Familiarity with the evolving MFN/Part B pricing policy landscape


EyePoint is committed to fair andequitablecompensation practices.The salaryoffer iscommensuratewithEyePoint’scompensation philosophy and considers factors including but notlimited to education, training, experience, market conditions, criticality of the role and internal equity.


The target salary range for this position is listed below:


Salary Range


$300,760 - $380,413 USD


Envision Your Future

With the exciting energy of a winning culture and an exhilarating pace, we are an ophthalmology company committed topreventing blindnessby developing and commercializing innovative therapeutics.


The collective power of our values influences everything we do, and everything we do for you.


Transformational Innovation

We exist to change our patients’ lives through the power of sight. We are forward looking, embrace challenges with curiosity, and continuously seek to improve our products and ourselves by learning, problem-solving and pushing the limits of science and technology.


Unwavering Integrity

We recognize our responsibility to our patients, employees, and our community, and value the trust they put in us. We set a high ethical bar and expect responsible leadership at every level to ensure we serve those who matter most to us.


Compassionate Excellence

We believe that fun and excellence can coexist. We foster a culture where enjoying the work we do and caring for each other are as important as delivering exceptional outcomes.


Inclusive Collaboration

We strive to see through the eyes of others and work as one team. We appreciate one another’s differences and perspectives, and ensure everyone feels valued, respected and encouraged to bring their ideas forward.


EyePointis proud to be an equal opportunity employer. We believe that diversity and inclusion among our colleagues is critical to our success as a company, and we seek to recruit, develop, and retain the most talented people from a diverse candidate pool. All applicants will be considered for employment without attention to age, race, color, religion, sex, sexual orientation, gender identity, national origin, veteran, or disability status.

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